New member just starting meds…….

[boiler363]

Guys I’m new to the forum and pretty new to ADHD. I’m a 31 year old construction worker and we’ve been going through trying to find proper treatment for our son who can be at time extremely hyperactive and at other times can exhibit signs of inattentiveness. So as we’ve been going through the motions on this it’s really shed light on many of my own problems that I’ve blown off or blocked out in the past. So low and behold I go to my primary care doctor and he 100% agrees that I’m primarily innattentive and goes on further to say you’ve got enough symptoms for me to treat you twice over! Some of these symptoms include anger at times that stems from nothing boredom induced depression, no filter at all really as I like to call it like I see it lol, extreme focus on thing I enjoy, and extreme disregard for things I don’t, and also find it nearly impossible to retain information that I read or am trying to be tought. Doctor started me on methylphenidate 20 mg er and it was night and day difference for the first day for about 4 hours as I’m sure some of you can understand best way I can explain it is an overall sense of better well-being and had no idea how many thoughts ran through my head until they weren’t all there at once! Problem is it’s only been a week and after day two all of that is now gone and only thing I can seem to recognize it’s maybe a slightly elevated heartbeat and a little shake in my hands. Doctor changed the meds today to Foculin 10mg er. Sorry for the long winded post just wanted to get my info out there thanks guys! Any suggestions are appreciated because I’m treading in uncharted waters.

• This topic was modified 6 years, 5 months ago by boiler363.

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[boiler363]

Update, since my first post almost a month ago the doctor has adjusted my dosage to 20 mg of dexmethylphenidate er. First week worked very well, and by the end of the second week I am completely second guessing this medicine, I was super hopeful but now it’s just going downhill. Take medicine at 7 am every morning and it still seems to work well for 2 hours or so and then I start a little downhill slide I guess you would say and then like clockwork about 11:30 kicks in again from the second release which then works good for about an hour. I can notice the downhill affect a little around 1:30 and by the time I’m driving home I have a pretty good amount of brain fog. I really wish I knew a good answer to this, is a dosage increase the right direction? Or a different prescription all together. I really thought I had it ironed out and now I understand the struggles others go through trying to get it right. The roller coasters over the last month are enough to make me pull my hair out, can’t imagine several months of experimenting.

• This reply was modified 6 years, 5 months ago by boiler363.

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[boiler363]

Is there really nobody out there that can provide any insight or suggestions?

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[greentree]

Hi it’s greentree hear.
I would like to comment but do remember I’m speaking from my own experience here and not from a qualified perspective. I would like to comment and say that many people when talking about meds seem to be refering to general GPs perscribing and directing the delivery and decisions of meds in many posts I’ve read here. Is this the same in your case?. If so why are you not diagnosed, seen and meds managed by a qualified phychiatrist who specializes in the field of brain disorders, your case Adhd. These guys are brain gurues who have also done the medical, which means they have expertise of meds and the brain. They are medical specialists of this field. I am in Australia and while under this standard of proffesional, meds are trialed , but it’s slow and steady in increments keeping a medication diary with written notes on your physical, mental respons to dosages, by you, who is the only one who can trully know what’s working.It was done this way in my case untill meds were sorted. It is a science of everyone’s brain and med dosages and med types being individual, needs to be tailored to you. This is what my guy said to me who is one of Australia’s top phychiatrist in ADHD and ASD disorders. Would you continue to see an optomitrist if you had a detatched retna or would you seek out an optomologist. I would seek out the latter. If you are seeing a phychiatrist who specializes in ADHD then he would have explained that meds have a span of time before they wear off depending on the dosage you take and time intervils between dosages. I was started on dex at quarter tablet working up to 1 with different times between dosages working up in dosage quantities and working out with the doc the time intervills over the coarse of a month 5 weeks. I was told then if meds dosages dont suite then you move to a different med. Sounds like your docs doing a bit of lets just try another one size fit all approch to it. My Older brother was accidently turned on mentally when he was perscribed meds for weight controle by his GP. Who then sent him to a specialized phychiatrist in ADHD. He too had the same methadologies applied to his journey in meds of dexamphedamine. He lives in another state to me. He was almost 58 at diagnosis, now 64.5, I was 55 now 59. Meds were explained in much detail to both of us. He too saw a leading specialist phychitrist in his state. Or maybe it’s just different in your country who knows. Sorry for such a long post
Good luck with you and your sons journey mate,
Sunshine days always 👍💚

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[greentree]

PS Green tree again. Forgot to mention my brother took 2 dex every 3 hrs. Our meds the same but dosages/times different. Very relevant to the job you do too. How switched on do you have to be, imperitive to your job. I was an AIN at the time, assistant in nursing, lots of time management ,attention to detail. Now I’m unmedicated as my job has changed to disability sector, job role changed, i can manage with stratagies and mindfulness. My brother was a TA in theartre so had to be really on top of things. He too is now off meds retired and managing with strategies including mindfuless.

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